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1037 PITCHER'S WAY
2.a i-7 wdrk �n L /J �! r r - I,, ��/�y/ �� � � ��� - �� � � �� o � �� �%� � �� "�i� ���� �� �� � �� } � f -{ Multi-Famil Barnstable _ $_133_,9.0__0_ i H annis _ Tyoe CONVERT- '% LotSize 0 43 Built 1984 PP XI Y' 1(Y.91A4C.__ 2anlna.,..REe d 1037 PITCHER'S_ _ TR B 7117 P 025 ___ Land Pays "WATER,SEWER,RUB Map/Par 149 f ach 2+MI BchOwner PUBLIC Co.Com Feat HU-CABLE E9 Feat"EXTLGTG.STRM_DRS,STRM WIN'_ _ Heat "ELECTRIC,TANK" Pool N WatriSewdlltil"Electric,3 ZONE" Park IMP DRWY Dock __ Bsmt"FULL_BLK Gar ONE Assmt 95700Tx 1492 1998 Lead N Uffi N Rem Currently operating as a rooming house with owners quarters and 3 1efficiency rentals with gross monthly rentals of ` $1,725.00....." Owner handy 8hw"APPTREO,CA LstOff REALTY EXECUTIVES Ph (508)362-1300 Ls JACK NICOLETTi__ _ P_F (508)420-0198 Dir Pitchers Way between Rte 28 and Bearses Way#1037. - iAF 3% BAF 3% OD 0% ML# 8045408 141 R ' t�r Town of Barns ble *Permit E- of a,. Expires 6-mo hs from issue date Building Department ee` sexivsresi.E. : Brian Florence,CBO MA SS. 3g6 ���' Building Commissioner r � , rFn p�21 200 Main Street,Hyannis 02601 Ct,, 0 www.town.barnstabl'e Office: 508-862-4038 "� .,(f14/Y& ti Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL 0 LY Not Valid without Red X-Press Imprint Map/parcel Number L Property Address OZ-0 3 7 AL 'Q Residential Value of Work ATO,t Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name-��rww� Telephone Number. - 7— . Home Improvement Contractor License#(if applicable) n(' Email: Construction Supervisor's License#(if applicable) PS 0E0 tvl /a ►S ❑Workman's Compensation Insurance Check one: ® I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# N f 09- Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles)-All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) i ,❑ Re-side a tvl1 G•�3 Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows -. #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 4 ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. �SIGNATUR ' Q:IWPFILESIF0RMSlbuilding permit fotms\EXPRESS.doc 08/16/17 I - Cottsrnorrf�ea�tt a,�fl�crssacirFrsettr . �epr�krrerzt af�i.�rrsttriatl�cc�der� 600 WashftWon��treet Gaston,,M 02111 topinnia-mgrr Atha Warkers' C mpensatran.Inslnce AffidaviL Scdldex-JCunfrac°ta -Mect icians/Phmihers APPHcastt Tnfhx=f= Please Print f,egffiry Mciress- City/StatefZ*- a Are YOU an employer?.f heckthe appropriate ba= Type of project(requiredy- I.❑ I am a employer wf 4. ❑I am a general contractor and I 6. New estmclim emplayew puff andfoc part-ime,* have hiredthe soar coaficat s ❑ on 2.7p I am a sale progsietar orpartuer Tisted on.the*attached sheet.. I ❑Remo&Hng ship and have so employees These sub-confradzors bale ,Q Deoraliizoa wadding forme in any capacity.. . employees andhave wo&ere 9. ❑Building addition [No w pig.' comp,insuzznce corap.kmMilml rewired j 5. ❑ We are a corpomfi on and its 1 ❑Electrical repairs or additions 3_❑ I am bomeawaer doing all work officers have exErcised their 1L0 Plumbingrepidm or additions mpse].£[No wokkers'cam- right of exemption per MG . 17 0 Roof re n3 m imcumncegtuirEd]I e.152,§I(4)6 andwe have n:o employees_[No,worker$' 13.❑'Other comp-in.suomm required ;Bs}rapgfi®t�accbe�s box#l�alsa�arnttfiesectioabetow�mdng�enraaorkea'�ompeasabnupor¢yiafaams�o�. ' ffam�vaerswlm submit rbis dadni i g tiny ar 3aing sIF oPoo�c aa�tSen Lae aatsid�toa�sctorsxonct.sahmit a new xmdxek belicsbno rnrT+ rCea�cfos$�xtd�eck*h box mast aitached=addiff—I shed sSoRSagtLenMneof the sub-contL�MxadstzievrLedmarnotibnseeaitiuhwa Mplayees.IftLesah-contactaeshzVe employees,tLeymnstpmtiide&w workam'camp.Policy mmMbM I arrt arm elsp�isr Herr[;is praurdir�taorkets'toa�rtsafiatt iasiira►res,�ar trr}*eirrpin}�ees �t3etopv is f7��paticy�and jQb spa' lusI mce:t olapanp1fam: - 'Policy,_or Self-ins_Iia_; Fxpir-aatioaDate: Job Tife Address` citylgtawzip: Ad2ch a copy of the workers'compensat6npolicy'declaration page(showing the policy number and expiration date). Faiinre to secure coverage as requirednuder Section 25A of MGI cy 15-7 can lead in the imzpositioa of criminal penalties of a fine up to$UOO-OU andlor one year impriso—t,as weill as civil peaafti,es,im lie farm of a STOP WORK ORDER and a ffne of up to$MD(l a day ast�the violator- Be adiised the a copy of this statemennt.mag be finwarded to the office of RM-estigations o the DIA for ims=t-coverage mdficztian_ I rya kenaby �r tics p cs ar�PsrlaItees a'gqj�cry durtttlis iqfarwa&npmi&da5oira Fs trim mid carrect ]date: Phone iF !), &fd use WIT. not wr&e in f1ds area,ter be.cmnspkad by cifp artamn n,;jjacuit City or Tows• Permit�LLicetrse# Issuing Autlwr€t}*(cir&one): L S©ard of$eaIthI lawld ng Department 3.City1rown Clerk 4.Electrical Inspector 5.Plunbmg Inspector 6.Other Con,act Person: Phone — -- — --- 6 Taformation aid lasesactions hr.a 3,n�GebmsI Laws chapter M regaars alI employ=tD provide wojkes'=npmsaiion for fhei=employees. Pmsaantto this stator,an employees is defined as--`�:eveay p¢son ih�.e service of another under any eo�xact ofhire, 1 express or iiup]ied,'oral or -" association,corporation or other legal ey,or any two or more An�Ivyer is defined as=an jndEvidual,parfnersT�, I er,or the of the foregp og m a3oint ,andinclndrag a legal esentaiiv�of a deceased emp oy receiver or trasfee of an hXWj&MI,p ,association or other legal entity,�Plo9 Ploy - However the owner of a dwelling house having not more thin, three apartments and who resides fherem,or the occ¢gant of fihe- dweIl�ng house of ano$ier who employs pecans to do n7ainancc,cong1ructi on or repair woric on such dweIImg house or on the grounds or bm�app thereto sbaIlnntbecayse ofsach employmentbe deemmeito be an employer." MGL r3apter 152,§25C(6)also sfafEs that¢everyst2iD arloc2lr�agencyshallwithhold ffie issuance ar renewal o ceu f a TSse or permit to operate a 4usmess or to construct bmldmgs is the commonwealfi for airy appliraatwIio has not produced ac mptaMe evidenm of c6mpHancewitk the ft=r nce.coverage required-" Additionally,MGL�Ptrr 152,§2 CM states al�Teifirer$ie camn�onweal$inor myy ofifspolitical subchvisioDs shall ester min any contract far the perfnmance ofpnblic work unrhl acceptable evidence of compliancevIh i the msarance.. recroh:mmenfsofthischzptrzhavebeenp==±ndiDfleeco g.aLtiioiiJ.y:' APPlicanfis Plase El oil the workeas'compensation affidavit completely,by checking fhb boxes fhat apply fn your situation and,if e n ,supply sub-co ractor(s)name(s), addresses)and phone x¢anbei(s)along with fhea=t[Ec�e(s)of insta�ce. L�=fed Liabay Companies(LLC)or Limit Liabi y Parfneiships(LI P)'v itb n°��y other than the members or pan[near,are not rimed to cary work&cumpeusafion,msmance- If an LLC or LLP does have empIopees,apolicy is required. Be advised this afidayit may be mbmitfed to the Department of Industrial Accidents for confrrmafiou of fi=.m.�coverage Also be sure to sign and date a affidavit Tfie affidavit should beretamed to$e city or town ffiat the application for tha peunit or license is being req=sted,not the Department of Iudnsfrial A c-ci =:L- Shouldyou have any questions regar m •die law or ifyou ate reqused to obtain aworkers' c=pensationpoRcy;pimsecaafheDepmtnm±atthenumberlist dbe ms� low: Self- nedcomPaniessbould"uterfjieic self-;r,cr7ran ce license somber an file appropIIate Ime. City ar Town.Officials f Please be sore that tale affidavit is complete and prim legibly. The Depar(menthas provided a space at file botlnna ofthe affidavit for YOU to fIl oitinfhe ev=t:the Office ofluyMtigations has to contautyourtgardiag&0 applicant Please be suretnflliafhepemuf'/lic=ssem=berwhichwMbeusedasarefere<ncennMber In addition,an applicant le wit h=nse libaji=is any glvcayear,need only sabmit one affidavit indicating ant t3ist must submit mubp p �F - a olicy information.(if nay)and under-Tob S Add s"thm applicnt ou1d v fall locations in (may town)-'A copy ofthm,-d5davitf33athas been officially stamped ormarkedbythe eitY ortownmay be,provided to the applicant as proof that a valid affidavit is on file for fatm permits or licenses. Anew affidavit must be filled ovt curb year.Wh=a home owner or citizen is obtaining a or permit not related in es any busins or commercial veodia e tain license (ie,a dog license orpermit in bumleaves eft.)said person.is NOT re qoirc d to eompleb this affidavit T7ie Office of Invesdgat=would hb--to thank you in advance for yarnr coopmafion and shouldyou have any q=sftons�, please do notb= ate to givens a call The I}epffitmenf a address,tnlephone and fax number_ -The C�a Z�of MwMachmbttS mmt of alA�a3�n Bostwam&Rill Fax#617 727 7M Kevised424-07 - MM51-9!a-TIaL I Town of Barnstable Building Department Services t � Brian Florence,CBO ►` Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder L �Mer ,as Owner of the subject property _ hereby authorize (r-) K 6LIII to act on my behalf in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. SVhature of Owner. Signature of Applicant t Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOI S Rev:08/16/17 Town of Barnstable ' Building ]Department Services Brian Florence,CBO ' Building Commissioner l 200 Main Street, Hyannis,MA 02601 • sAWMAWvsrr►>irs. « www.town.barnstable.ma.us a"9. 1� Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER UCENSE EXEMMON Please Print DATE: JOB WCAnON: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAI ING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is;or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for alfsuch work performed under the buildingpermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official. Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFII.ES\FORMS\building permit forms\EXPRESS.doc x 08/16/17 I Details Page 1 of 1 Licensee Details _.._..............._.....__............._..._......_.........._..._.__....._...... ...-----......._ -- -.._.... -- _.__._..._..__._......_. __.__..__..........___.__._..._.._...._._..._.............._.......__._......-....- -..__...--........ -, Demographic Information Full Name: Thomas Kane Owner Name: License Address Information City: Eastham tate: MA ipcode: 02642 Count : United States License Information License No: CS-080462 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 8/23/2017 Issue Date: Expiration Date: 8/3/2019 License Status: Active Today's Date: 12/6/2017 Secondary License Type: Doinq Business As: [Status Change Reason: License Renewal Prere uisite Information No Prerequisite Information http://elicense.chs.state.ma.us/Verification/Details.aspx?agency_id=1&license_id=269506& 12/6/2017 Office of Consumer Affairs & Business Regulation- Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) " Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting HIC Registration Complaints b Registration# 142571 Home Improvement Contractor Registrant COASTAL CONSTRUCTION AND REMODELING Registration Home Page Name TOM KANE Address 920 HERRING BROOK RD. City, State Zip EASTHAM, MA 02642 Expiration Date 07/21/2018 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search ©2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. https:Hservices.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=42830 12/6/2017 DATE(MM/DD/YYYY) AcO CERTIFICATE OF LIABILITY INSURANCE 12/6/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jackie Stewart NAME: The Fair Insurance Agency Inc. HONE Ext: (508)775-3131 ac No: (508)790-1677 619 Main Street EMAIL ADDRESS: Suite 1 INSURERS AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURER A:Evans ton Insurance Company INSURED INSURER B: Coastal Construction & Remodeling INSURERC: PO BOX 148 INSURERD: Eastham MA 02642-0148 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:17-18 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUERPOLICY LTR POLICY NUMBER /Y MMDDYYY MM/DDNYYY LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR 1006505 9/1/17 9/1/18 DAMAGE SESOEa occTur ence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: . GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO ❑ LOC PRODUCTS-COMP/OP AGG. $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS N PROPERTY DAMAGE $ AUTOS NON-OWNED Per accident HIRED AUTOS AUTOS ' $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN South Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIJS2 �% ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I NS025(201401) Bk 30761 Pg196 #46498 09-13-2017 @ 03:10p MASSACHUSETTS(Quitclaim) revised 01/01/92 I REO NO.: P1604NX "FANNIE MAE" AIKIA FEDERAL NATIONAL MORTGAGE ASSOCIATION, a corporation organized under an Act of Congress and existing pursuant to the Federal National Mortgage Association Charter Act, having its principal office in the City of Washington, District of Columbia, and an office for the conduct of business at P.O. Box 0 660043, Dallas,Texas 75265-0043(hereinafter called the Grantor) cD o for consideration of Two Hundred Ninety-One Thousand and 001100 Dollars ($291,000.00),paid cgrants to Horace Plummer,married, now of 1037 Pitchers Way,Hyannis, ca MA 02601, z with quitclaim covenants, 12 SEE EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF dFor Title Reference, see Foreclosure Deed recorded in the Barnstable County M Registry of Deeds,in Book 29678,Page 129 on May 26,2016. 0 UNDER AND SUBJECT to any existing covenants, easements, encroachments,' conditions, restrictions,and agreements affecting the property. a e THIS DEED is given in the usual course of the Grantor's business and is not a Q conveyance of all or substantially all of the Grantor's assets in Massachusetts. 0 L °- The Grantor is exempt from paying the Massachusetts state excise stamp tax by virtue of 12 United States Code§1462,§1723a,or§1825. TOGETHER WITH all and singular the improvements, ways, streets, alleys, passages, water, watercourses, right, liberties, privileges, hereditaments, and appurtenances whatsoever hereto belonging or in anywise appertaining and the reversions and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, claim and demand whatsoever of the said Grantor in law,equity, or otherwise howsoever, of and to the same and every part,thereof. r Bk 30761 Pg197 #46498 Executed as a sealed instrument this day of_ ��ji-6)A r ,20__j . For Authority see Limited Power of "FANNIE MAE"AIWA FEDERAL Attorney recorded in the Barnstable NATIONAL MORTGAQEASSOCIATION County Registry District of the Land by Orlans PC its Attorney-in-Fact Court at Document 1319444 and Delegation of Authority and Appointment recorded in the Barnstable County Registry at Document 1317780. 1 Ar"� L Sam nth Court,Authorized Signatory, Real Property STATE OF MASSACHUSETTS County of Middlesex,ss. o On this .S day of � �,�/ 20 / before me, the cundersigned notary public, personally appeared Samantha Court, Esq., Employee, Authorized Signatory, Real Property, of ORLANS PC, as Attorney-in-Fact for "FANNIE MAE" A/IVA FEDERAL NATIONAL MORTGAGE ASSOCIATION who is either personally known to me,or proved to me through satisfactory evidence of identification, C to be the person who signed the preceding or attached document, and acknowledged to me that he/she executed the same for its stated purpose as the free act and deed of _ "FANNIE MAE"AXIA FEDERAL NATIONAL MORTGAGE ASSOCIATION. V a� Notary Public co zF My Commission Expires: O a Bk 30761 Pg198 #46498 EXHIBIT"A" A certain parcel of land on the westerly side of Pitchers Way and the easterly side of Beth Lane in that part of Barnstable known as Hyannis,Barnstable County, Massachusetts,shown as LOT 21 on a plan entitled,"Plan of Land in Barnstable, Mass. for Cape Investment Trust",dated January 2, 1973 and recorded in Plan Book 271, Page 83 and 84, Barnstable County Registry of Deeds. Subject to and with the benefit of all rights,reservations,easements and restrictions of record insofar as the same are in force and applicable. Property Address: 1037 Pitchers Way, Hyannis,MA 02601 o _ co - N - O 2 A ti M , O O a 14 JOHN F. WADE, REGISTER ' WNSTABLE COUNTY REGISTRY OF DEEDS RECEIVED b RECORDED ELECTRONICALLY TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map—�-7 Parcel Application # D�- Health Division Date Issued Conservation Division dL,/ Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH / Hyannis Preservation H nni s Pf Project Street Address la3 ? 419 e-r WQ Village 7 O i ®1 Owner Lyc&55" Wit' Address AD3?- l o e' Pr k1 h Telephone IV Pepit Req. es b' � L� v ler;h? +• � /4 ;j- z& > A k 40, C I Y a /_10 0 V%,%, �t rX60 Square fee . 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation�DDG�- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �]� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing U new Half: existing - neS�? Number of Bedrooms: existingnew ZE Total Room Count (not including baths): existing new First Floor Roo Count` Heat Type and Fuel: ❑ Gas ❑ Oil A Electric ❑ Other w � Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑4s ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑Listing ka neX size_ n, Attached garage: ❑ existing ❑ new size._Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # tw Gurrent-Use—._ _ —.-- --- - - Proposed Use --- APPLICANT INFORMATION s;� • (BUILDER OR HOMEOWNER) Name ke, 1 Telephone Number Address 49_3i 37 04, License # AW VL" O Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 11 3 �E FOR OFFICIAL USE ONLY APPLICATION# ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER `2 DATE OF INSPECTION: FOUNDATION FRAME 4+ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 ` FINAL BUILDING 3 D�/� DATE CLOSED OUT r ASSOCIATION. PLAN NO. The Commonwealth of Massuckusetts Department of Ind'ustrurl.Accide & Office of lnmfigadons +600 Washington Street - Boston,MA02111 wn w.mas&gov1dia Workers' Compensation Insurance Affidavit; Builders/CoairactarstEk-ctricianvPlumbers Apiplicaimt Information Please Print Lendbly /° ' �s Wd . r�CityfStatefZ€p: PLLk Phone##: Are you an employ Check the appropriate bG= T of project r 4. I am a contractor and I 3'Pe pmj (required): 1..❑ I am a employer with ❑ l ti. ❑New construction employees(full and/orpart:-time).* haim hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. y- ❑Remodeling ship and have no employees Tie sub-contractors have g. ❑Demolition w for me in an capacity. employs and have workers' Y $ 9. ❑Building addition [No workers'comp.insurance comp-�'��- regaired 5. ❑ We are a corporation.and its 10.❑Electrical repairs or additions 4 3 I am a homeowner doing all work officers have exercised dmir 11.❑Plumbing repairs or additions myself [No workers'camp. rxght.of exemption per MGL 12.[_1 Roof repairs insurance required.]l c. 152, §1(4),and we ha,,T no employees.[No workers' 13.❑Other COMP_mstuance required-] *Any gThcavrt that checks box#1 mast:also Ell out the section beIaw showing their workers'compens;ation policy infnrmatia m I lloMWWDesa who submit this d&1,r in indicating&ey are doing all wank;end then hike outside contracton msst submit a new afdimn indicating such tConir wrs fhat check this boar Est attached an additional sheet dwwmg the name of the sub-cunnact rs and state whether or not those entities have employees. If the sub-contractors have employees,they m=pwvide their workers'comp.policy number. lam an employer that is providurg ww orkers'compensation insurancefor my emp&ye& Blow is flee policy rand job site information. Insurance Company Name: Policy 4 or Self-ins.Lis..4: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure:coverage as required under'Section 25A of MGL c.152 can lead to the imposition of criminal pegs of a fine up to$1,500.UD and/or ens-year imprisonment,as well as civil penalties in the fbrm of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insure coverage verification. I do haraby c tderr the rnndpenallies r f pedury that the information protirted abovels hue d corract all G '2) C - = " Ojft&l use only. Ike not write in this area,to be completed by city or town official. City or Town: PermitUcenase# Issuing Authority(circle one): 1.Board of Health 2.Building Department. 3.City town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 Town of Barnstable Regulatory Services M ` Thomas F.Geiler,Director �F.19. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: . _ 1 j JOB LOCATION: L�• tJ �L l number ' (street"'A' � ]la e <.HOMEOWNER": � � home phone CURRENT MAILING ADDRESS: city Sown' state F zip code �- The current exemption for"homeo ers"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersi ed"hom4eres that he/she-understands the Town of Barnstable Building Department minimum inspection procedureshe/she will comply with said procedures and requirements. �Signatuie o ome Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 1 FEE T Town of Barnstable ti Regulatory Services • RALMSTAKE, • nsnss. g, Thomas F.Geiler,Director i639• �� 'OIE .3 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ` -- Property Owner Must • 1 _:Complete.and-Sign�Tbis, Section 4 , If Using A Builder ' as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicarik. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPEFMISSIONPOOLS 6/2012 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M Map Parcel Application # �'�L � Health Division Date Issued Conservation Division Application Fee CIO Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project Street Address 147- f Village Owner U S �� 0)" dr Address Telephone i y" Permit Request 2 r tog 0.., Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ESP. � Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) T Age of Existing St ucture Historic House: ❑Yes No On Old King's Highway.-LI Ye_1 ❑ No Basement Type: I Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) a Number of Baths: Full: existing if new �� Half: existing new rn Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (, f r Telephone Number Address IP 4rl 4-r- cj License # I 2 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l®Z/Z FOR OFFICIAL USE ONLY APPLICATION# x , DATE ISSUED IVfAP/PARCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: 7 FOUNDATION FRAME INSULATION ' FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL I r FINAL BUILDING DATE CLOSED'OUT ASSOCIATION PLAN NO. r r The Commonwealth of Massachusetts t Department of Industrial Accidents Office of Investigations `1 600 Washington Street Boston,MA 02111 r www.mass go v/dia Workers' Compensation tnsurance Affidavit: Builders/Contractors/Electricians/Plumbers. Applicant Information Please Print Le0bly N3R7e(Bu'siness%Organization/Individual): I , Address: aLll��f "t, , City/State/Zi Phone. - R— , #: Are you an employer?Check the appropriate box:. Type of project(required): I.❑T I am a employer with 4. .❑I am a general contractor and I 6•,❑ New construction employees (full and/or,part-time).* ' _ have hired the sub-contractors 2.❑ I am a sole proprietor:or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp'insurance S. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or.additions VV I am a homeowner doing-all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. , c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t. employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the.name of the sub-contractors and their workers'comp,policy information: I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information Insurance Company Name: policy#or Self-ins. Lio, #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of fine up to$1,500.00 and/or one=year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine_ of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded'to the Office'of Investigations of the DIA for insurance coverage verification. I d�ycetify under the pains and penalties of perjury that'the information provided above is true and correct Signature: —DatS-- " Phone#: � d15a. Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house, or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings Iin the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the 3 members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line: City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will.be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information.(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: Q The Commonwealth of Massachusetts a Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 0.2111 Tel. # 617-727-4900 ext406 or 1-877-MASSAFE Revised 5-26-OS Fax 4 617-727-7749 www.mass..gov/dia Town of Barnstablie P��TFiE Regulatory Services Thomas F. Gei)er, Director MASM Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 veww.ttiwn.barnstable.ma.us Office: 508-862-4039 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE- / f—JGB-DDCA.T_J0W I� G G�l� L)61 number swert village "1fOM1EOVJNER":—�vS `�' �r /v 7..,7 v name kl' omephone# work phoneCURRENT MAIUNG-ADDRESS: ., ��/7 W"P Lit s Oath, city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,-or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall tie responsible for all such work performed under the building permit, (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum insp tion proced and requirements and that he/she will comply witlrsaid procedures and requirements Signature of Hdmcow Si a Approval of Building_Of icial 1. " Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any hbrncDwDer performing work for which a building permit is required shall be exempt from the provisions of this section(Section )09-1.1-Liccnsing-of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption arc unaware that they are assuming the responsibilities ofa supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack ofawarcness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexcmpt Popp THE r O " ToWn of Barnstable F �. Regulatory Services 6 _Thomas F. Geiler,Director -Building Division r. Thomas Perry, CEO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma,us Office: 508462-403 8 Fax: 509'790-6230. �4? Property owner Must x° Y. Complete and Sig'This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative.to work authorized by this building permit application for: (Address of Job) Signature of Owner, Date Print Nartie If Property Owner is applying,for permit,please complete the'Homeowners License Exemption Form on the reverse side. C:\Users\dccollik\AppData\Local\Microsoft\Windows\Tcmpor cry lntrmct'Filcs\C.Onttnt.OuClook\DDV87A?Z\EXPRESS.doC Revised 072110 z sy sr Q� � Zz � i � ... - t i - I ; r .f i � tF i � �" I i ;,, � `I I .��r '', ( .. � i r i *,' ' �1 '¢ j r+ _ tl ..• '�__ .. V "� 1 _ ��- 's •.� - y � ' ' � ' '� �. i } A '.J MM DD yyyy ❑Delete NFIRS -1 011422 U 1 061 12212013 U 113-0002802 11 000 El Change Basic FDID * State* Incident Date * Station Incident Number * Exposure * ❑No Activity ❑Check this box to Indicate that the address for this incident is provided on the Wildland Fire BLocation* Module In CenSUS Tract 0 Section B "Alternative Location Specification". Use only for Wildland fires. L1—u ®Street address 1037 " I PITCHERS WY 11 ❑Intersection Number/Milepost Prefix Street or Highway 9 Y Street Type Suffix ❑In front of ❑Rear of L_� I HYA'NNI S IMA 1 102 601 1-1 ❑Adjacent to Apt./Suite/Room City State Zip Code ❑Directions L- I Cross street or directions as applicable Incident T * Midnight is 0000 C Type El Date & Times F;2 Shift & Alarms 400 (Hazardous condition, Other I Check boxes if Month Day Year Hr Min Sec Local option Incident Type dates are the same as Alarm ALARM required alwaysIC3 Aid Given or Received* Alarm D Date. * I �L 22 2013 10:17:41 Shift or Alarms District Platoon 1 ❑Mutual aid received I III II ARRIVAL required, unless canceled or did not arrive 2 []Automatic aid reCV. Their FDID Their ® Arrival * �0�6 22 I 20131�10:21:34 I E3 State- CONTROLLED Optional, Except for wildland fires Special Studies 3 ❑Mutual aid given P 4 ❑Automatic aid given I I ❑Controlled " " I I I Local Option 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires I I I None Incident Number Last Unit Special Special N ❑ ® Cleared 1 061 22 I 20131 12:09:04 Study ID# Study Value F Actions Taken * G1 Resources * G2 Estimated Dollar Losses & Values Check this box and skip this X section if an Apparatus or LOSSES: Required for all fires if known. Optional 86 (Investigate I Personnel form is used. for non fires. None Primary Action Taken (1) Apparatus Personnel Property $1 1 , 1 000 1 000 Suppression I I Contents $1 , 1 000 1 000 Additional Action Taken (2) EMS 10002I 1 00031 PRE—INCIDENT VALUE: optional I I I I Property 000 other I 0001 00002 y $1 ' �000� '10 u �J Additional Action Taken (3) ❑ Check box if resource counts include aid received resources. Contents $1 , 000 , 000 Completed Modules H1*Casual ties®None H3 Hazardous Materials Release I Mixed Use Property ❑Fire-2 Deaths Injuries N E]None NN X Not Mixed ❑Structure-3 Fire U U 10 Assembly use Service 1 ❑Natural Gas: slew leak, no e�acation or sarMat actions 20 Education use ❑Civil Fire Cas.-4 2 El Propane gas: <zl lb. tank (as in home sec grills 33 Medical use ❑Fire Serv. Cas.-5 L _J 1J ❑ 40 Residential use civilian 3 Gasoline: vehicle feel tank or portable container nXEMS-6 4 ❑kerosene: fuel burning equipment or portable storage 51 Row OP stores ❑HazMat-7 Detector 53 Enclosed mall Required for Confined Fires. 5 [:]Diesel fuel/fuel Oil:vehicle fuel tank or portable 58 Bus. & Residential Wildland Fire-8 1❑Detector alerted occupants 6 [-]Household solvents: home/office spill, cleanup only 59 Office use ❑X Apparatus-9 7 []Motor Oil: from engine or portable container 60 Industrial use QPersonnel-10 2E]Detector did not alert them O from paint cans totaling<s5 gallons 63 Farm useary fire V ❑Paint: fr 65 Farm use nx Arson-11 U❑Unknown ❑ s r 0 Other: pedal Haztfat actions required o spill >BBgal., 00 Other mixed use Please comslete the HazMat form J Property Use* Structures 341❑Clinic,clinic type infirmary 539 ❑Household goods,sales,repairs 342❑Doctor/dentist office 579 []Motor vehicle/boat sales/repair 131 ❑Church, place of worship 361❑Prison or jail, not juvenile 571 ❑Gas or service station 161 ❑Restaurant or cafeteria 419M 1-or 2-family dwelling 599 ❑ Business office 162 ❑Bar/Tavern or nightclub 429❑Multi-family dwelling 615 ❑Electric generating plant 213 ❑Elementary school or kindergarten 439❑Rooming/boarding house 629 ❑Laboratory/science lab 215 ❑High school or junior high 449❑Commercial hotel or motel 700 ❑Manufacturing plant 241 ❑College, adult education 459❑Residential, board and care 819 ❑Livestock/poultry storage(barn) 311 ❑Care facility for the aged 464❑Dormitory/barracks 882 ❑Non-residential parking garage 331 []Hospital 519❑Food and beverage sales 891 ❑Warehouse Outside 936❑vacant lot 981 ❑Construction site 124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard 655 ❑Crops or orchard 946 ❑Lake, river, stream 669 ❑Forest (timberland) 951 Railroad ri ht Of wa Lookup and enter a Property Use code only if ❑ g y you have NOT checked a Property Use box: 807 ❑Outdoor storage area 960 ❑Other street Property Use 1419 919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway 931 ❑open land or field 962 ❑Residential street/driveway 11 or 2 family dwelling I NFIRS-1 Revision 03 11 99 Hyannis Fire 01922 06/22/2013 13-0002802 r R1 Person/Entity Involved Local Option Business name (if applicable) Area Code Phone Number ❑Check This sBox s if U I IMi I I U same addres a Mr.,Ms., Mrs. First Name MI Last Name Suffix incident location. Then skip the three duplicate address u u lines. Number Prefix Street or Highway - Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code .. FJ More people involved? Check this box and attach Supplemental Forms (NFIRS-lS) as necessary R2 Owner Same as person involved? Then check this box and skip I I1774 4 8 7 - 7 5 32 The rest of this section. Local Option Business name (if Applicable) Area Code Phone Number �J ILucas I Aguilar I ® Check this box if Mr.,Ms., Mrs. First Name MI Last Name same address as Suffix incident location. 11037 PITCHERS WY Then skip the three duplicate address Number Prefix Street or Highway Street Type Suffix lines. IAGUILAR, LUCAS I I j IHYANNIS Post Office Box Apt./Suite/Room City IMAJ 102601 �-�� State Zip Code L Remarks Local Option . Caller Name : AT&T MOBILITY 800. 635. 6840 Caller Phone : (508) 364-3937 COID=ATTO Dispatch_1 ; 2013/06/22 10:21:34 - 827 AT EVENT MANNING IS 0 Dispatch_1 ; 2013/06/22 10:23:59 - 826 AT EVENT MANNING IS 0 Dispatch 1 ; 2013/06/22 10:53:07 - 805 AT EVENT MANNING IS 0 911 ; 2013/06/22 10:17:41 Time of Call 2013/06/22 10:14:39 Phone Number (508) 364-3937 C,OID=ATTMO Caller Name AT&T MOBILITY 800. 635. 6840 Street Number : 1044 Street Name : MARY DUNN RD Service Municipality : BARNSTABLE ESN : ESN=604 MTN:508-511-8969 Longitude -070.307243 Latitude +041.667806 Dispatch_1 ; 2013/06/22 10:37:54 826 REQUESTING FIRE INSPECTOR AT 10:34 HOURS Dispatch_1 ; 2013/06/22 10-38:34 INSPECTOR COSMO NOTIFIED AN 10, TO 15 MINUTE ETA AT 10:36 HOURS Dispatch 1 ; 2013/06/22 10:45:40 L Authorization 1198704 IRex, William J. � ICAPTEMTNJP I I I 1 06 1 L.22j, 2013 Officer in charge ID Signature Position or rank Assignment Month Day Year Boxcif® 1198704 1 I Rex, William J. I I CAPTEMTNJP I I I L 061 u 2013 same Position or rank Assignment Month Day Year as Officer Member making report ID Signature in charge. Hyannis Fire 01922 06/22/2013 13-0002802 MM DD YYYY 01922 U 1 61 L.Z2j Complete 2013 L 1 � � 13-0002802 � 000 Narrative FDID State Incident Date Station Incident Number * Exposure Narrative: Caller Name : AT&T MOBILITY 800.635. 6840 Caller Phone : (508) 364-3937 COID=ATTO Dispatch-1 ; 2013/06/22 10:21:34 - 827 AT EVENT MANNING IS 0 Dispatch-1 ; 2013/06/22 10:23:59 - 826 AT EVENT MANNING IS 0 Dispatch—1 ; 2013/06/22 10:53:07 - 805 AT EVENT MANNING IS 0 911 ; 2013/06/22 10:17:41 Time of Call 2013/06/22 10:14:39 Phone Number (508) 364-3937 COID=ATTMO Caller Name AT&T MOBILITY 800.635. 6840 Street Number : 1044 Street Name : MARY DUNN RD Service Municipality : BARNSTABLE ESN : ESN=604 MTN:508-511-8969 Longitude -070.307243 Latitude +041.667806 Dispatch_1 ; 2013/06/22 10:37:54 826 REQUESTING FIRE INSPECTOR AT 10:34 HOURS Dispatch 1 ; 2013/06/22 10:38:34 INSPECTOR COSMO NOTIFIED AN 10 TO 15 MINUTE ETA AT 10:36 HOURS Dispatch_1 ; 2013/06/22 10:45:40 826 REQUESTING 811 AT 10:44 HOURS Dispatch_1 ; 2013/06/22 10:45:53 811 DISPATCHED AT 10:45 HOURS Dispatch-1 ; 2013/06/22 10:59:45 826 REQUESTING BUILDING INSPECTOR AT 10:57 HOURS Dispatch-1 ; 2013/06/22 11:02:50 826 REQUESTING A WIRE INSPECTOR AT 10:58 HOURS Dispatch 1 ; 2013/06/22 11:03:30 BUILDING INSPECTOR AND WIRING INSPECTOR NOTIFIED AND ETA OF 10 TO 15 MINUTES AT 11:01 HOURS Dispatch-1 ; 2013/06/22 11:05:03 826 REPORTING IN SERVICE AT 11:04 HOURS Dispatch 1 ; 2013/06/22 11:22:03 WIRING INSPECTOR ON LOCATION AT 11:21 HOURS Dispatch—1 ; 2013/06/22 11:25:30 BUILDING INSPECTOR ON LOCATION AT 11:25 HOURS Dispatch_1 ; 2013/06/22 11:36:36 805 REQUESTING NSTAR FOR A DISCONNECT FROM THE POLE PER THE WIRING INSPECTOR AT 11:34 HOURS Hyannis Fire 01922 06/22/2013 13-0002802 P MM DD YYYY 01922 U 1 61 22 1 2013 13-0002802 000 Complete FDID * State* Incident Date * Station Incident Number * Exposure * Narrative Narrative: Dispatch 1 2013/06/22 11:36:57 NSTAR REQUESTED AND EN ROUTE AT 11:35 HOURS Dispatch-1 ; 2013/06/22 12:08:59 805 REPORTING NSTAR HAS COMPLETED THE POLE DISCONNECT, TOWN INSPECTORS HAVE CLEARED THE SCENE, 805 CLEAR AND RETURNING AT 12:08 HOURS -------------------------------------------------------------------------------- On 06/22/2013 at 10:17:41 dispatched To 1037 PITCHERS WY /AGUILAR, LUCAS (PITCHER'S WY) /HYANNIS, MA 02601. The location is a 1 family dwelling. The incident was determined to be a(n) Hazardous condition, Other. 10:21:34 arrived on scene. The following involvements were noted: Name/Business Name Involvement Type ---------------------------------------------------- Aguilar, Lucas The following actions were performed on scene: Investigate Units responding were: Unit 805 responded. Unit 826 responded. Unit 827 responded. I responded in Engine 826 and arrived on scene with Ambulance 827. A patient located in the kitchen was treated and transported to the hospital by Ambulance 827. The patient was an occupant of the house. I noticed a large amount of bikes in the yard and lots people in the house. I inquired who lived in the house and they all confirmed that they lived there. People were coming and going but estimated 12-15 people lived there. I found 2 bedrooms in the basement. I found two sets of bunk beds in the first room and it appeared three people were staying in that room. The second room had one set of bunk beds and one other bed. It appeared three people were staying in that room. The first floor baseboard heat was missing and the capped wires were lying on the floor. The wiring in the basement appeared to be completed not to code. I requested a FPO officer to the scene. One of the occupants called the owner and requested he return home. FPO Cosmo arrived on location. After a brief inspection FPO Cosmo requested a Town of Barnstable building and wiring Inspector. The owner arrived on location and met with all the inspectors. I cleared and returned to quarters. Electrical inspector requested Nstar to the scene. They arrived and cut the power off at the pole. Hyannis Fire 01922 06/22/2013 13-0002802 .< `' MM DD YYYY 01922 U 1 61 22 1 2013 13-0002802 000 complete • FDID State Incident Date Station Incident Number Narrative Exposure Narrative: FPO Cosmo will be doing a follow up report. 12:09:04 all units back in service. Hyannis Fire 01922 06/22/2013 13-0002802 f Hyannis Fire Investigation Profile Report Investigation Profile - Basic Information Investigation: Incident Investigation - 13-0002802 Date: 06/22/2013 Address: 1037 PITCHERS WY /AGUILAR, LUCAS (PITCHER'S WY) /HYANNIS, MA 02601 FDID: 01922 Alarm Date: 06/22/2013 Incident #: 13-0002802 Case Status: 2 Investigation closed Status Date: 06/22/2013 Investigators: Laboratories Used: 805 Lt. Cosmo FPO Initial Observations: Other Investigative Info: -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - ---------------- ----------------------- ---- -------- --------- --- --------=------ ---------- Narrative: Req to scene by Capt Rex for possible code violations at a single family residence. . Upon arrival met with Capt Rex and conducted an initial interior walk around of the house. Basement had two rooms that were being used as bedrooms. Each room had 3 people sleeping in them but they did not have any secondary means of egress from either room. On the first floor there were two separate bedrooms one was locked and the other appeared to be occupied unknown how many people. Second floor had three bedrooms with a total of 12 people sharing the rooms. At this time a building inspector was requested shortly there after a wiring inspector. Several code violations were noted including open electrical boxes, capped wiring that was exposed, electrical wiring run along the outside of the house to power lights and several other issues. . Exit orders issued by the building inspector and after discussion with wiring inspector it was agreed that the power be disconnected at the pole so the proper permits could be obtained to bring the house up to code. Lieutenant John Cosmo FPO I I * Denotes primary Agency 07/01/2013 14:40 Page 1 Message Page 1 of 1 Anderson, Robin 1 U 3 7 To: Deputy Chief Dean Melanson (dmelanson@hyannisfire.org) Subject: 1037 Pitchers Way &323 South St Just following up on both of these properties. When you get a chance can you send over the reports for both of theses properties? I am looking to verify the number of occupants at both locations. With regards to South Street, I am also hoping that information was included pertaining to the collection of rent(the amount and manner of collection) as well as the report that a tenant contacted the landlord regarding the gas odor the day before our response and was told not to contact the FD, etc. FYI: The South Street landlord was issued $2000.00 worth of citations for health &zoning violations. He left here yesterday with a permit application to restore to a single family and remove all un-permitted work. The property record has been flagged so that gas work will be subject to confirmation that the criminal investigation secured the evidence they require and our zoning issues are resolved. I am told that the tenants remain now even though they were informed to vacate. Tom McKean is re-thinking and deciding when to post the property as a result of a brief exchange I had with him today clarifying the situation. Pitcher's Way is also being cited for failure to register as a rental. Citations for overcrowding are pending. He has been ordered to remove all un-permitted work and the power is not being restored until that work is completed and inspected. He has an application to restore to single family and reduce the number of bedrooms in his hand. He must return a completed application but he has made contact with a contractor and electrician to rectify the problem. All necessary work to be performed will rely on a generator for the power tools & lighting. This property record has been flagged, too. I am told that the tenants are gone but I have not confirmed this. My fax number is 508-790-6230 Thank you! W96in Robin C. Anderson Zoning Enforcement Officer Town of 73arnstabCe 200 Main Street Hyannis, MA 026oi 508-862-4027 6/28/2013 DATE: June 26,2013 TO: Building File FROM: R. Anderson RE: Zoning Complaint Multi-family OWNER: Lucas Aguiler LOCUS: 1037 Pitchers Way,Hyannis ZONE: RC-1 M&P: 272-149 Inspected on this date with James Parziale& Paul Roma. HYFD responded to a medical call for an occupant residing in the basement apartment of this property. The response team was concerned about the obvious overload of and burden on the electrical system and called in the electrical inspector, Bill Amara on Sat. morning (6/22/13). In turn, the electrical inspector recognized serious code deficiencies and violations and called in a local building inspector, Bob McKechnie. Bob immediately issued an exit order for the basement and Bill ordered the power to be shut off at the street until an electrician could sort out the haphazard wiring and properly re-wire the dwelling. On Monday morning, I was made aware of the week-end call. I recognized the property as one we had been to before and found that we had actually issued an exit order for the basement in 2008 and to the same owner. The inspectors explained that the not only had the owner denied he was aware of the restrictions and limitations and safety issues but had also actually ADDED another bedroom. Bill estimated that 24—26 people were in residence and the yard was littered was bikes. I reported unannounced to the site to determine whether or not the dwelling was still occupied. I was accompanied by Bob McKechnie and Patrick Franey, both local inspectors. Upon arrival we noticed about 15 bikes in the yard and a half a dozen young women and men milling about the deck. They were all very polite but declined to let us in. They appeared to be foreign students here for the summer. A young man advised us that they were afraid of getting into trouble by letting us in but promised to advise the landlord to call us. He did say the landlord does reside at this address. The allowed us to walk around the property and most of the occupants retreated to inside the dwelling. The basement entrance has been constructed in a format common to illegal apartment s and designed to provide easier access. The yard contained two campers (windows were broken) an unregistered truck, overgrown lawn, chickens& coop and miscellaneous construction material. We departed the site having not been admitted and anticipating that the owner would have to contact us in order to arrange for the power to be restored. No permits cannot be issued until such time that a building permit is secured to restore the property to that of a single family home and the work is satisfactorily inspected for full compliance. I 1 I We were advised that the owner was having difficulty obtaining the services of an electrician. Later, I was informed that Wellington Soares was hired. Paul Roma and I discussed the history of the property and the owner's total disregard for the well being of his tenants. We have also been informed that he charges $80.00 per person per week. An average of 20 tenants a week would net him $1600.00 a week. Jim Parziale contacted the owner and arranged for an inspection on the morning of June 26, 2013. 1 returned to the property with Paul Roma and met Jim on site. The owner admitted us to the entire property. The basement contained two bedrooms (with furnishings still in one room). Both bedrooms lacked proper egress. There was a full bathroom, a separate laundry room, a larger open common space where an exterior stairs led up to outside via a doghouse configuration. There was also a separate rectangular mechanical space that ran parallel to one of the bedrooms and shared a common wall. In fact there was an outside window installed in the common wall overlooking the outside window in the foundation through the foundation wall. On the first floor was a combined kitchen/living room space, a hallway with a full bath, and two bedrooms (one said to belong to the owner and all doors had locks). The entrance to the basement(door removed) was also located in the short hallway. The stairs to the second floor were inside the small accessed from a door located in the living room or directly from the front door. (Tenants would then have a key to the front door and their own room -providing access their own space without disturbing the other tenants or units. No hand rail was provided on this staircase and the runner was loose and coming off the tread in one area. There was a second to\locked interior door just inside the front door. It appeared to be the other side of the owner's bedroom but a bureau was noted to be in front of that section of the room when looking in from the hallway off of the kitchen. The second floor was reconfigured by dividing a large room on the right side into two bedrooms. A full bathroom serviced both of these rooms. Two bunk beds were installed in the rear room on the right side. The front room of the right side was empty. On the opposite side of the hall was another bedroom and full bath. Two bunk beds and a stack of mattresses were in this room. It was apparent that this dwelling was set up to accommodate numerous people. The owner has been ordered to obtain building permit to restore to a single family and remove all un-permitted work including the bulkhead, all walls and plumbing in the basement, reduce the number of bedrooms in accordance with the septic capacity, repair the electrical and obtain plumbing permits for the bath room on the second level. 2 I G 3`7 �?�-�cG�e�S �, f r- Overcrowded house shuttered CapeCodOnline.com Page 1 of 2 Overcrowded house shuttered Hyannis officials say 24 people were living in a 6-person home By Patrick Cassidy pcassidy@capecodonline.com June 25,2013 2:00 AM HYANNIS—When Hyannis firefighters responded to a medical call at 1037 Pitcher's Way on Saturday they uncovered a potential death trap. Inside they found as many as two dozen people living in the small,four-bedroom home,with some in a basement with only one way out,according to town officials who visited the property. "We had to call the building inspector,"Hyannis Fire Capt.William Rex Jr. said. The overcrowding was only part of the problem, Barnstable wiring inspector William Amara said Monday. Electrical wiring designed for interior use is run along the outside of the home and beneath shingles, creating a potential fire hazard, he said. Other wiring in the basement of the home is exposed or was installed incorrectly by the homeowner,Amara said. Photographs taken by inspectors of the conditions in the home show wires hanging loose,a smoke detector hanging from the ceiling and exposed junction boxes and switches. Other images show bedrooms with as many as six beds, including multiple sets of bunk beds to a room and about 20 beds total. Amara estimated there were as many as 24 people living in the home. "It was so unsafe that I had no choice but to shut it down,"he said about the decision to have the fire department call NStar to cut power to the house. The homeowner, listed as Lucas Aguilar in town assessor's records,did not respond to a note left Monday with tenants at the property. Three young women smoking cigarettes, checking their phones and lying on the home's deck Monday afternoon said that everyone who lives there is from other countries, including Russia and Kazakhstan,and they are in the United States on J-1 student visas.At least 10 bicycles were scattered in the driveway and two dilapidated trailers with broken windows were parked in the backyard. J-1 visa holders fill a variety of service jobs at restaurants, hotels and other businesses on Cape Cod during the summer. Students seek out group housing for several reasons, including the cost and the social benefits of living with people their own age, said Anna Poplasky,founder of Cape Cod Summer Citizens, a program she established about a year ago to help J-1 students on the Cape. Poplasky's organization has started an alternative host program that matches up J-1 visa holders with Cape families with extra space, she said. The program has placed about 30 students with 14 host families this year and expects more to come,she said. There are never more than two students to a room and the price ranges from about$80 to$100 per week,she said. "It's really a great experience,"she said."They become a summer mom and dad for those kids.They sometimes take them on a trip, give them advice." http://www.capecodonline.com/apps/pbcs.dlUarticle?AID=/20130625/NEWS/306250303... 6/25/2013 l - Overcrowded house shuttered I CapeCodOnline.com Page 2 of 2 The women at 1037 Pitcher's Way said they expected to find another place to live by today but declined to give their names or comment any further, referring all other questions to Aguilar. Amara said the home is an example of conditions he finds at similar properties all the time. Although town officials try to get property owners into an approved rental program,the landlords often don't follow through,Amara said. The Pitcher's Way property has been in the town's sights before. In 2007 and 2011,building department officials ordered the homeowner to discontinue the use of the basement for sleeping purposes.The same order was issued Saturday. The town also issued a stop-work order in 2011 for framing and insulation that was being done without a permit. Only a month ago U.S. Immigration and Customs Enforcement agents descended on the home and arrested Yuliya Gonzalez,20,as part of several raids on the Cape.The people arrested at the time were picked up on administrative immigration violations,according to an ICE spokesman. The town's health department has given the homeowner 24 hours to get power and hot water restored, starting with notice given Monday,or the building will need to be vacated, Health Director Thomas McKean said. "He called six electricians already,"McKean said about a discussion he had with Aguilar. McKean said that based on the number of bedrooms in the home it can accommodate only six people under the town's comprehensive occupancy ordinance,which was passed in 2006 to address overcrowded rentals. "I'm not at all happy with the situation,"McKean said. "Overcrowding is not acceptable." Amara said he is waiting for somebody to come in and pull permits for the electrical work,which must include removing all the previously installed do-it-yourself wiring. In addition to the wiring work, occupancy of the home will have to be approved by the town's zoning department, Amara said. "He will have to restore it to a single-family home and take out all unpermitted work,"zoning officer Robin Anderson said. The haphazard electrical work combined with the overcrowding is a recipe for disaster,Anderson said. "It's the property owner,"she said about the general problem of overcrowding."They've got their hand out." Cape Cod has been lucky so far that there hasn't been a fatality in these types of situations,Anderson said. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20130625/NEWS/306250303... 6/25/2013 r �t Teti Town of Barnstable r 0 Regulatory Services BARNSfABM MAS Thomas F. Geiler; Director 163 Public Health Division L Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 24, 2013 Lucas Aguilar 1037 Pitchers Way Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 1037 Pitchers Way, Hyannis, MA was visited on June 24, 2013 by Jim Parziale R.S., Health Inspector for the Town of Barnstable. This visit was conducted in response to a complaint filed with the Public Health Division. The following violations of the State Sanitary Code were observed: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (A) Failure to provide hot water. 410.750 (C) Failure to provide electricity. .You are directed to correct all State Sanitary Code violations listed above within twenty four (24) hours of your receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. However, these violations must be corrected within twenty four hours regardless of any request for,a hearing. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. SER O THE BOARD OF HEALTH McKean, R.S., CHO Director of Public Health Town of Barnstable I Four arrested in morning federal immigration raid CapeCodOnline.com. Page 1 of 2 Four arrested in morning federal immigration raid 10� By Patrick Cassidy pcassidy@capecodonline.com May 16, 2013 12:10 PM HYANNIS-U.S. Immigration and Customs Enforcement officials have detained at least four individuals in the Mid- Cape area during arrests early this morning on warrants. The federal agency, with assistance from Barnstable police, went to three locations in Hyannis checking for illegal immigrants starting at about 6:50 a.m., according to Barnstable police. The agency arrested Yuliya Gonzalez, 20, at 1037 Pitcher's Way, Barnstable police Chief Paul MacDonald said. Officers arrested Adilet Kadyrov, 20, Nursultan Kaiypov, 20, and Elbek Kalbekov, 24, at 35 Gosnold Street, he said. The agents went to another address on Brookshire Road but did not arrest anyone there, he said, adding that ICE also went to locations in Yarmouth. The people detained in Hyannis were booked at the Barnstable police station and then taken to Boston for arraignment, MacDonald said. The exact nature of the warrants is unclear but these kinds of warrants are usually for some type of deportation issue, he said. It is doubtful that there is any direct connection to the bombings at the Boston Marathon a month ago but since the bombings ICE and other agencies have increased their enforcement actions, MacDonald said. "Everybody is stepping up their game," he said. The two brothers accused of setting off a pair of explosions at the marathon last month—Dzhokhar and Tamerlan Tsarnaev—once lived in Kyrgyzstan, the home country of the three people arrested at 35 Gosnold Street, according to a Kenyan man who said he was their roommate. Police arrived at the Gosnold Street home sometime between 6:30 and 7 a.m., the man said during a brief interview at the house. He declined to give his name. About eight officers from ICE and Barnstable police were at the door when he answered, the man said. "It was scary when you see the guns and the Tasers," he said. The three men who the officers detained are from Kyrgyzstan and are all students, the man said, adding that he didn't know what college they attended. When officers asked his roommates if they knew why they were there,the men said it was because their student visas had expired, the man said. The man said he has his green card. The officers checked the house but didn't find anything illegal, he said, adding that.he did not believe his roommates were involved in anything related to the Boston bombings. Nobody answered the door at 1037 Pitcher's Way,which had a nicely manicured lawn and other plantings around a deck. On the property behind the home are two campers and a chicken coop as well as various landscaping equipment. A woman who works nearby said the home's owner is very nice and she never heard anything out-of-the-ordinary besides recent squawking from the chickens. - http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20130516/NEWS I I/130519771&tem... 5/16/2013 Four arrested in morning federal immigration raid I CapeCodOnline.com Page 2 of 2 An ICE official said he would check into the specifics of the agency's activity on the Cape. No more information on the raids was immediately available this morning. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers, Inc.All Rights Reserved. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20130516/NEWS 11/130519771&tem... 5/16/2013 Town of Barnstable �oFt"E'O'rtia Regulatory Services Thomas F. Geiler, Director BARNSrABLE, 9 MASS. $ Building Division i639. �0 ArFprrw+" Thomas Perry, CBO, Building Commissioner 200 Main Street; Hyannis, MA 02601 www.town.barnstable.rna.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: r 4 LOCATION: •r/„/yF S 3 UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION. 3400.5;1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. �- LOCAL INSPECTOR F 7 SIGNATYM.E�OF�R-ECIPIENT n ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM O PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE,A AREA DO PORAOBASEMENT PARA O PROPOSITO DE DORMIR. INSPETOR LOCAL ASSINATURA DO RECIPIENTE ,4 Loop Up Print Pagel of 3 . Owner Information-Map/Block/Lot: 272/149/-Use Code: 1010 l Owner Map/Block/Lot GIS MAP►! 272/ 149/ AGUILAR,LUCAS Property Address Owner Name as of 1/1/12 1037 PITCHER'S WAY 1037 PITCHER'S WAY HYANNIS,MA. 02601 Co-Owner Name Village: Hyannis Town Sewer At Address:No GIS Zoning Value: RC-1 . Assessed Values 2013 -Map/Block/Lot: 272/149/-Use Code: 1010 2013 Appraised Value 2013 Assessed Value Past Comparisons Building $ 118,800 $ 118,800 Year Total Assessed Value: Value Extra $ 31,100 $ 31,100 2012 - $239,100 Features: 2011 - $242,200 Outbuildings: $ 7,600 $ 7,600 2010- $ 241,700 Land Value: $ 108,000 $ 108,000 2009- $273,500 2008- $273,300 2013 Totals $265,500 $265,500 2007- $296,300 . Tax Information 2013-Map/Block/Lot: 272/149/-Use Code: 1010 Taxes Hyannis FD Tax(Residential) $ 531 Community Preservation Act $69.77 Tax Town Tax(Residential) $ 2,325.78 Fiscal Year 2013 TAX RATES HERE 2,926.55 . Sales History-Map/Block/Lot: 272/ 149/-Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: AGUILAR,LUCAS 10/12/2007 22399/222 $288000 DASILVA, GERALDO P&ISMENIA 9/1/1999 12514/001 $125000 HANDY, WILLIAM E III&JUDITH A 4/15/1990 7117/025 $100 HANDY, WILLIAM E III TRS & 3/15/1987 5589/144 $127000 HANDY, WILLIAM E TRS 12/15/1985 4862/130 $1 http://www.town.bamstable.ma.us/Assessing/printl3.asp?ap=0&searchparce1=272149 6/22/2013 ��Loop Up Print Page 2 of 3 HANDY, WILLIAM E&JUDITH A 5/15/1984 4123/099 $89900 C &F BUILDERS,INC 5/15/1984 4123/098 $0 CLARK, WILLIAM H 12/8/1980 3205/92 $55000 . Photos 272/ 149/-Use Code: 1010 . Sketches-Map/Block/Lot: 272/149/-Use Code: 1010 5NP 34 WDK Tqs. 24 k BM 14 15 As Built Cards:Click card#to view:Card.#1 . Constructions Details-Map/Block/Lot: 272/149/-Use Code: 1010 Building Details Land Building value $ 118,800 Bedrooms 4 Bedrooms USE CODE 1010 Replacement Cost $135,024 Bathrooms 4 Full Lot Size (Acres) 0.43 Model Residential Total Rooms 9 Rooms Appraised Value $ 108. Style Cape Cod Heat Fuel Electric Assessed Value $ 108 Grade Average Heat Type Elec Baseboard Year Built 1984 AC Type None Effective depreciation 12 Interior Floors Carpet Stories Interior Walls Drywall Living Area sq/ft 1,409 Exterior Walls Wood Shingle Gross Area sq/ft 2,928 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp http://www.town.bamstable.ma.us/Assessing/printl3.asp?ap=0&searchparcel=272149 6/22/2013 Loop Up Print Page 3 of 3 . Outbuildings&Extra Features-Map/Block/Lot: 272/ 149/-Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement- 854 $ 18,500 $ 18,500 Unfinished WDCK Wood Decking 336 $4,900 $4,900 w/railings FEP Enclosed porch- 30 $ 3,100 $ 3,100 roof,ceiling SHED Shed 160 $2,700 $2,700 BFA Bsmt Fin-Avg- 600 $9,500 $ 9,500 Partitioned . Sketch Legend Property Sketch Legend B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) TQS Three Quarters Story(Finish( BRIM Barn GAR Garage UAT Attic Area(Unfinished) CAN Canopy GAZ Gazebo UHS Half Story(Unfinished) CLP Loading Platform GRN Greenhouse UST Utility Area(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UTQ Three Quarters Story(Unfinis FCP Carport KEN Kennel UUA Unfinished Utility Attic FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUS Full Upper 2nd Story(Unfinisl FHS Half Story(Finished) PRG Pergola WDK Wood Deck FOP Open or Screened in Porch PTO Patio http://www.town.bamstable.ma.us/Assessing/Printl3.asp?ap=0&searchparcel=272149 6/22/2013 aft .e, ,.�....,,,�r-.,..-"^r.. '.:"1.y;-.iv?-v.`tk,- ..' „t =+. -'�+i:•t .+. .. _. : r t ,- i.. .-. ... « F � ->...t,i .;-. . N;»..:5_ ^s a.,�e�, ..w'h`t 7"C' r- ••yw;.. 4't3 �' :�. Town of Barnstable OFtHE l Regulatory.Regalittory. Services - Thomas F. Geiler,:Director BARNSTABLE. MASS. g .,Building Divisioh 'OtFonnA+° Thomas Perry, CBO,`Build ing Commission'er 200 Main Street, 'Hyannis, MA 02601 www.town.ba'rr stable ' a."us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION: UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE.HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLAWBASEMENT AREA FOR SLEEPING PURPOSES. . LOCAL INSPECTOR SIGNATURE OF RECIPIENT ODEM DE SATDA DATA: LOCALIDADE: � DE ACORDO COM 0,PROVISORIO 780 CMR; CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE; A AREA DOPORAO/BASEMENT PARA 0. PROPOSITO DE DORMIR. ��-- INSPETOR LOCAL ASSINATURA DO RECIPIENTE r -7 LF Z-t 7 r.i The Commonwealth of Massachusetts ! ^; I Department of Industrial Accidents i q Office of Investigations 600 Washington Street Boston, ALL 02111 r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): !y O Address: A934 d City/State/Zip: u G,,"S' Ak ���60/• Phone #: 11r,7 , Are you an emplo er?Check the appropriate box: Type of project(required): 1. ❑ 1 am a employer with 4..❑ I am a general contractor and I 5 ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. # 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions � required.] officers have exercised their 3.lyJ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4), and we have no 12.0 Roof repairs insurance required.] t employees.[No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil.penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi er the ins and penalties of perjury that the information provid77, ve is ue and correct Si ature:!(, Date: l� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: .x Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto sliall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal.of a license or permit to operate abusiness or.to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy isTequired. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address;telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 - www.mass.gov/dia ra t. r Town of Barnstable ofT ray o Regulatory Services j BARrisrAsM Thomas F. Geiler,Director MAMIL 1619. Building Division Tom Perry, Building Commissioner 200 Main-Street, Hyannis,MA,02601 yt ww.town.barnstable.ma.us Office: 508-862-403 9 Fax: 509-790-6230 HOWOWNER LICENSE EXEMPTION Please Print DATE: I� � JOB Loc nox: " ► D / number a (' eet village "HOMEOWNER": h v' ,°' name home phone# work phone# CURRENT MA1vNG ADDRESS: " eityttown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as superyisoi. DEFINITION OF EOMEOWNER Parson(s)who owns a parcel of land on which he/she resides or intends to reside, on which.thcre is, or is intended to" be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constrgcts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned`homeowner"assumes responsibility for compliance with the State Building Codc and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.be/shcunderstamds the Town of Barnstable Building Department minimum insp6ction pro es and requirements and that he/she will comply with said procedures and requiremen Signature o&goTmne er Approval of Butlding.Of5cial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMMOWNER'S ExE1r mbN .The Code states that "Any homeowner perfomvng work far which a building permit is required shaD be exempt from the provisions of this section(Section l D9.1.) -L ccrLsi rg of ec natruction Supervisors);provided tha t if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this cxcrrrption arc unaw=that they are assuming the rcsponn'bilitics of a supervisor(sec Appendix Q, Rulcs&Rcgiilations for Licensing Construction Supervisors,Section 2.15) This lack of awaen ress often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannol proceed against the unlicensed person as it would with a licensed Supervisor. The horncown er acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of hivhcr respons-bilidrs,many communities require,as part of the permit application, that the homeowner ccr that hrlshe understands the responsibilities of a Supervisor. On the last page of this issue is a,form cur=t]y used by several towns. You may care t amend and adopt such a farrdcertifieation for use in your community. THET ti Town of Barnstable ` Regulatory Services • s.uxsrAs[.� v M g s Thomas F. Geiler,Director 163,9�- Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstabIa.ma.us Office: 508-9624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject.property hereby authorize to act on my behalf, in all matters relative to'work authorized by this building permit application for. (Address of Job) Signature of Owner Date ; Print Name If Property Owner is applying forpem�it please complete. the Homeowners License Exemption Form on :the reverse side. Ir oF� Town of Barnstable *Permit# Erpires 6 morn s from issue date Regulatory Services Fee ' SARNMELE, 9c� MASS. Thomas F. Geiler,Director pTEp MAY A fn Building Division Vv Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �7 f Not Valid without Red X-Press Imprint Map/parcel Number L �l Property Address /�J `4 ��ier tdd -a?/�j� Residential Value of Work ®�� JX. Minimum fee of$35.00 for w rk/under$6000.00 Owner's Name &Address ����.� C, rr(,4.r�. ��/�'��. 'tnlJ(? Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance K Check one: NIAR 4 ❑ 1 am a sole proprietor _.� I am the Homeowner -Fe' A1N \F B ARNSTA ALE ❑ I have Worker's Compensation Insurance Insurance Company Name workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check bux) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) �] Re-side / #of doors- . Replacement Windows/doors/sliders. U-Value ( Wt . (maximum .44)#of windows / 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,.Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home provement Contractors License & Construction Supervisors License is r d. SIGNATURE: Q:IWPFILEST0RMS\building permit fo sTXPRESS.doc Revised 070110 Barnstable Police Department Page: 1 Call Number Printed: 05/02/2011 For Date: 05/02/2011 - Monday Call Number Time Call Reason Action Priority Duplicate 11-17142 0421 Phone - DISTURBANCE, NOISE ADVISED 3 Call Taker: 267 - PTL. PAUL B MACDONALD, JR. Location/Address: [HYA] 1037 PITCHER'S WAY Party Entered By: 05/02/2011 0422 267 - PTL. PAUL B MACDONALD, JR. Calling Party: AGUILAR, LUCAS @ ***UNKNOWN*** - HYANNIS, MA 02601 Unit: 224 PTL. MATTHEW E BLONDIN Disp-04:23:52 Arvd-04:28:15 Clyd-04:38:24 Unit: 233 PTL. NELSON J SOUVE Disp-04:23:57 Arvd-04:28:40 Clyd-04:38:21 Narrative: 05/02/2011 0422 PTL. PAUL B MACDONALD, JR. RP STATES THERE IS A PARTY ON THE FLOOR BELOW HIM. . .HE HAS ASKED MULTIPLE TIMES FOR THEM TO QUIET DOWN, BUT THEY REFUSE. . .SLIGHT LANGUAGE BARRIER. Narrative: 05/02/2011 0721 PTL. MATTHEW E BLONDIN WHILE FOLLOWING UP THE COMPLAINT, I OBSERVED ACTIVE CONSTRUCTION ON THE INTERIOR AND EXTERIOR OF THE HOME (NO VISIBLE PERMIT) . I ALSO OBSERVED MULTIPLE REGISTERED AND UNREGISTERED VEHICLES PARKED ON THE PROPERTY. WHILE SPEAKING WITH THE HOMEOWNER, HE ALLUDED TO RENTING TO TWO OTHER FAMLIES LIVING INSIDE OF THE HOME. THE BASEMENT ALSO APPEARED TO HAVE BEEN SUBDIVIDED WITH MULTIPLE BEDROOMS AND A BATHROOM. I FURTHER OBSERVED UNPROTECTED WIRING HANGING FROM THE CEILING. STRONG LANGUAGE BARRIER WITH OCCUPANTS. J .. °-'THE, � Town of Barnstable Regulatory Services MASS.MASS. ®k Thomas F. Geiler� Director y Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION: 29r L'•- !� Under the provisions of 780 CMR,-the State ]Building Code, Section 3400.5.1, you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. LOC L INSPECTOR SIGNATURE OF RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 q2, Parcel Application# -7 Health Division Conservation Division Permit# Tax Collector Date Issued 4 Treasurer Application Feed Planning Dept. Permit Fee 5 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 0.2] Qr •�he_ Village 4cpri Y1 i S Owner 6-�0,( 1� P �Sr I v�i Address p _ Telephone oSOX— 708 I�61 �� 'T� �'/1� Permit Request h4 2 ttC-1 ' R C,�p M� l C Square feet: 1 st floor:existing l2 $I proposed 2nd floor:existing proposed _ Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I G Construction Type Lot Size o Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation. Dwelling Type: Single Family O' Two Family ❑ Multi-Family(#units) Age of Existing Structure19( 9 Historic House: ❑Yes U. o On Old King's Highway: ❑Yes b-t4o Basement Type: Oct Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �Cro Basement Unfinished Area(sq.ft) € Number of Baths: Full:existing new 0 Half:existing ± newt ' Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count = C::�' Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other I Central Air: ❑Yes UZ Fireplaces: Existing 15— New fa Existing wood/coal stove: ❑rYes C P o Detached garage:❑existing ❑new size_t Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size _ Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes "10 If ye ,site plan review# Current Use V QCXJf_1 'iyL(Y Proposed Use Ci0 pl Ve-,r" OLU v-Q� BUILDER INFORMATION U Name< ( i'j�✓ 1/ ang1/l/� Telephone Number ?J Address / GCS License# D 10V'1� 45�02 01116)', Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR __ DATE ".9 k FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH, FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f . 1lhe Gommonweattth of Massachusetts Department of Industrial Accidents Office of Investigations. ' ' d 600 Washington Street Boston,MA 02111 www.mass.govldia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please]Print Le ibl Name(Business/Organization/Individual): . Address: b 3 r - City/State/Zip: � hone#_ (�\D A o !®•J ' Are you an employ ? Check the'appropriate boa: -Type of project(required):, 1.❑ I am a employer with 4. I am a general contractor and I * have hired the sib-contractors 6. ❑New construction . employees(full and/or part-time).2.[] I am.a'sole proprietor or partner- listed on 1he-attached sheet.' 7. ❑Remodeling shipand have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' .' []Building addition 9. [No workers' comp.insurance comp,insurance.$ ,eiq�ed] 5. We are a corporation and its 10.�Electrical repairs or additions 3. I am a homeowner doig U work officers have exercised their l l.❑Plumbing repairs or additions myself. o workers' co right of exemption per MGL y �• 12.0 Roof repairs insurance required.)t c. 152,§1(4), and we have no employees. [No workers' 13. Other comp,insurance required.] *Psy applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affida-Vit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees:If the sub-contractors have employees,they must provide their workers'comp.polidynumber. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self ins.Lic,#: Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the polity number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisomnent, as well as civil penalties in the form of a STOP WORK ORDER and a$m of up to$250.00 a day against the violator. De advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and e �uqthatthe information provided above is true and correct, I Si ature: ---- Date: P7 tr Phone#: F only,. Do not write in this area, ib be completer)bycity or town official. n: Permit/Licensehority(circle one):Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector rson: Phone#}: Information and In treucti®ns Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a-deceased employer,or the receive* trLG nr tee-of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling-house having not more than three apartments and who resides therein,or the occupant of the. dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or,local licensing agency shall withhold the issuance or ,renewal.of a license or permit to•operate a business or to construct buildings in the commonwealth for any applicant-who.has not produced;acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,-§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract fmr the performance of public work until-acceptable evidence.of compliance with the insurance requirements of this chapter have been presented'to the contracting authority."- Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, il' necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other.than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Bp advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pernut.or.license is being requested,not the Department of Industrial Accidents,' Should you have any questions regarding the law-or'' you are required to obtain a workers'- compensationpolicy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibl ly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant, Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy*information(if necessary)and under"Job Site Address"the applicant should write"all•locations'in (city-or town)."A copy of the affidavit that has.been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questionsplease do not hesitate to give us a call. The Department's address,telephone:.and fax number: T t Comm.oawealth of Musach=tts Department of l.ftstrioci al A ,dmts Off ec of In-Vesfigadons 600 Washingtcai Street Boston,MA G2111 Ten.#617-727-4904 ext 4.06 ar 1-M-MAESAFB Fax# 617-727-7749 Revised I1-22-06 . www.mass.go-vldia y R �pFTHE�p� Town of Barnstable Regulatory Services BARMMASS. Thomas F.Geiler,Director o;9r4 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Pernut no. Dateoq to!? f 0-1 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements.. ti 01(t�.r� 4 M A/� "roman 1 1 _ r1 C7�. c��01� fro w-� Type of Work:- In,S+4(1 M+SK i A, D44-1—c� +C OEstimated CosE� Address of Work: Pi�- e r's ( 1L trlO qq QI'2 ni M.A-- Z-c n Owner's Name: Dct St'l A Date of Application: OW � o -l l0 I hereby certify that: Registration is not required f6r the following reason(s): ❑W rk excluded by law ob Under$1,000 ❑Building not owner-occupied 19Dwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date t' Contractor Name Registration No. _ OR e Owner's Name Q:fonns:homeaffidav 1 °F1NET�,, Town of Barnstable ti yP °� Regulatory Services �$"M„ "B �a AW Thomas F. Geiler,Director o;90 Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.u s Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: Q7 ` LOCATIO 1� d if Under the provisions of 780 CAM,-the State Building Code, Section 3400.5.1, you are hereby ordered to immediately discontinue the use of the cellar/basement area'for sleeping purposes. e j foe_ LOCAL INSPECTOR SIGNATURE OF RECIPIENT 0c) S F Mai � f JJi T 4 �� y � 1 �. �� .,` �� �� �.: �� ��' 3 �`` ; r � _ ! Cr ._.. ...____..�._..__..... _,ae�� ,,.,'� ....7_ _.._' � � T. .. 1� � � �� �,��i����� d; t ti,. �� �-.. -- , woe T►1E tp�� Town of Barnstable y�P Regulatory Services BARNSTABix = Thomas F.Geiler,Director y MASS. g �A 1639• .0 p Building Division �Fv ru►� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 7 �/ c JOB LOCATION I9 T 7Ci`?-c number street village "HOMEOWNER'(. ��/t'.Gl� � /G A99 name , /home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOVI'NER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance-with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ature of om er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction-Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Zoning Team Field Report Date: March 24, 2007 Sat. 8 AM Locations: Beth Lane Inspectors: Don Desmaris, Health, Jack LeBoeuf, Building & Robin Giangregorio, Zoning Fire Dept: No representative Police: Officers Wayne Ellis, Gretchen Allen & Sgt. Sean Sweeney 124 Beth Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Tito &Rezar Tejada Contact Tito Tejada Number of Bedrooms 3 Actual 4 including unused basement bedroom &hobby(train) room • 1 Adult lives here. • He has 2 registered cars and allows a friend to leave another one here. • Appears to have collection disease. • Found bedroom in basement but it obviously has not been used in a long time. a Exit order issued. • Had smoke but needed batteries??? • No CO detector. 138 Beth Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Maria Damata Contact Maria Damata Number of Bedrooms 3 Actual 3 • 2 Adults and 2 children reside here. • Found work in progress in basement. • Owner has a building permit for that work. • No kitchen. • Has new egress windows and is reconfiguring space. • Created new laundry room.Discussed Amnesty application. • Previous exploration may have determined that unit was too big as proposed. 1 • As this is not an existing apartment but a family space she may reduce living space by created a storage room and if she decided to do so she may seek Amnesty approval to convert into an apartment. • Septic system is limited to 3 bedrooms. She must upgrade or sacrifice one room upstairs. • I will check with Madeline regarding history with this property. 166 Beth Zoning RC-I/GP 3 Unrelated lodgers allowed Owner of Record Diane Pimenta Contact Joao Luiz Pimenta, father(5-18-52/029709076) Number of Bedrooms 3 Actual 4 • Found JP Tow truck in yard running. • Found painting truck in yard. • Tow truck is parking over septic. • Cars drive up and around house. • A shed in the rear was full of junk. • Painting supplies are stored up against the shed on two sides. • A mattress was in the back yard. • Initial visit resulted in a conversation only with Joao Pimenta. • He stated he resides at 55 Straightway. • Advised Mr. Pimenta to remove tow truck and not return here. • Also, to get yard cleaned up, limit parking to driveway and inform tenants to cooperate with us. • He claimed to not have a key. • At this time we were unable to get anybody to open the door. • We left the site and returned with Sgt. Sweeney about 30 minutes later. • This time we were able to access the house. • English speaking tenant- Jleison(tenant) 774-836-8700 • One bedroom was found in the basement lacking egress. • An exit order was issued to the resident of that room and a copy left on site. • Jleison indicated that Joao collects the rent and does in fact have a key. 6:45 AM 3/26/07 • Tow truck gone. • Site improved with regards to trash. • Parking situation improved—one on side and one in driveway. • Found tow truck at 55 Straightway. This is Joao's residence. 2 110 Beth Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Ronald Perocchi Contact Ronald Perocchi Number of Bedrooms 3 Actual 4 including basement • 2 adults and 2 children reside here • Yard is full of trash and junk. • Found septic system to be failed. • Leak in basement—appeared to be more than dehumidifier overflow—possibly washing machine. • Clothes and debris everywhere. • Found basement bedroom with no egress. • Exit order issued. • 3 bedrooms on first floor and 1 in the basement. • During walk-thru' noted wife still sleeping, a couple on the couch and two boys in the back yard. • Health ordered all trash to be removed by Weds. • Possible substance abuse issues may impede self-preservation skills. 98 Beth Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Cassia&Francisco Farias Contact Number of Bedrooms 3 Actual • No.response. Unable to gain access. 86 Beth Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Billy& Carol Cauthen Contact Billy& Carol Cauthen Number of Bedrooms 4 Actual 4 • No zoning violation . • Rear garage addition is master bedroom attached and open to house. 3 62 Beth Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Elia R DeMateo Contact Number of Bedrooms 3 Actual ? • Minor child answered door about 8 or 9. • Informed a 15 yr old sister was babysitting but she did not come to the door. • No adult home to admit us. • 1 unreg car 50 Beth Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Juan Portilla Contact Juan Portilla Number of Bedrooms 4 Actual 6 including two under construction in basement • 5 Adults reside here. • 4 or related and one is a friend. • Owner not completely forthcoming with regards to residents and relationships. • Found construction of two rooms in basement. • No building permits. • Rooms appear to be for sleeping but owner claims it's for storage. • No means of egress in either. • Stop work issued. • Exit order issued for unfinished room. • Advised owner to register as a rental unit. • Advised owner to obtain a building permit. • Smoke & CO detectors??? • This property must remain on watch list. 1 Beth Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Samuel Traywick Contact first floor tenants—unit 1 Number of Bedrooms 5 Actual ? • This is a SF Cape converted into a quad—2 units up &2 down • Deficient or lacking smoke detectors & CO detectors. • Lacking second means of egress on second for second-story units. 4 �9 • Basement full of junk and barely passable. • Assessors show 5 bedrooms. • This is a 3 bedroom septic. • Not registered as a rental? • Had access to only the first floor unit#l. • Tenant pays $880.00 a month. • 2 adults live here. • Haz Mat barrels outside and misc debris • Possible substance abuse issues may impede self-preservation skills. 1087 Pitchers Corner of Pitchers &Beth Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Jacqueline Judge Contact Elderly Significant Other Number of Bedrooms 3 Actual 3 r i • Jacqueline Judge—deceased Feb 2007 • An elderly man admitted us. • He lives here alone. • Found basement full of trash bags &garbage; unable to move around. • A couple of bedrooms and attic appeared to be full of junk. • Gentleman explained she was a"collector"who had closed her mother's house and moved everything here. He is slowly trying to clean it out. • The cars outside were registered in her name and are being probated. • He appeared to o frail to do the cleaning. • Periodic wellness checks may be necessary. 5 +9 t 1067 Pitchers Zoning RC-1/GP 3 Unrelated lodgers allowed Owner of Record Keila Barreto Costa Contact Keila Costa 508-862-2736/508-237-5911 cell Number of Bedrooms 2 Actual 3 including sunporch set up but unused for sleeping 3 adults and one child • No zoning violations • Stop work placed on shed. • Discussed parking issues & landscape • Advised Ms Costa to check with Eng for road opening permit. • Advised MS Costa to obtain building permit for shed and register same. 1037 Pitchers Zoning RC-l/GP 3 Unrelated lodgers allowed Owner of Record Gertalso & Ismenia Silva, 508-775-7881/508-776-7924 Cl Contact Number of Bedrooms 4 Actual ? • SF home converted into a quad. • A woman and an infant live in Unit 1. • Unit 1 or Apt A has two bedrooms downstairs in basement and one on first floor. • Basement in this area contains an embryonic apartment with a separate entrance, kitchen area and cabinets, bathroom and 2 bedrooms, currently unused for now. • There was also a closet full of painting supplies. • This area was obviously vacant at this time. • Doors inside identified units as A, B, C &D. • Outside property is neat. • A large driveway and expanded parking area open into a sizable backyard containing 2 campers and a shed. • It appeared that at one time someone may have been living in at least one camper. • Unit A needed batteries in smoke. No CO detector. • Egress issues with second floor units. • Exit order issued for basement & left with tenant. • Tenants are driving over and parking on septic. 3/26/0710:30 AM • Owner contacted BI Leoeuf. Advised owner to restore home to single-family. Owner invited to come to office at 3:30 on this date to discuss property and options. 6 Assessor's map and lot number r " Sewage Permit number , .....% ........ ~ Z 13JHB9TADLE, i House number rasa i •- J 039 e0 M1 `• v J 'F�MAI a\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............!�?':� �� ......f' �f.!f.. ............................................................ TYPE OF CONSTRUCTION ..........L I1rJ..6........► "r nt2n - ............................... �.:.. :......I9.:t TO THE INSPECTOR'OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ................ 7........ .�. J" ? :." ...:*' !...... '�='-.'-...r.........!.... ...; .....`:..............1/Ii: ....y/ ProposedUse ...':.......t:,o. ... �........ ............................................................................................................... Zoning District f .............................Fire District ..... . Nameof Owner ... ...................�....y... ......:.T.:......................Address A:.... :.... {.........:.................................................. Nameof Builder ..........� y'�....:.....................................................Address ...........:-r...........................................:'......................... Nameof Architect ........�.f..'.`% r Address.................................. .................................................................................... Number of Rooms 'P' Foundation ... �\!f, /'-4-, r` 3:. "....... .......................... '...................... Exteriorc..... ':'.k...................................................../+,0 . ...Roofing r r, l ..H.................................................. IFloors 1 Interior ......4l..�.f.. ........l.................. Heating ................................./.............`.........`...:..�...............Plcmbmg .......>j........................................................................... Fireplace ► %.............................................................Approximate Cost ............... c1L-�-"?J ........ ... ...... l---....` ................................. Definitive Plan Approved by Planning Board --------------------------------19,--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ............. .. ........................... C & F BUILDERS A=272-149 25t50 1�-2 Story No Permit for Single Family Dwelling ...........A.................................................................. Location ...Lot 21, 38 ane ........................................... ..... ..........t.,. 13 7 Hyannis ............................................................................... Owner .....C...ss... ........................ Type of Construction ..Emame.......................... ..........................................................:..................... Plot ............................ Lot ................................ January 5, 84 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSE ........../...--/.....-.... .: ......... .............................................. ................................ .............................................. .....................:........... ........................................... ................................... ......................................... ..................................... Approved .................... ........................... 19 .................................... .......................................... ............................................................................... :t t r M � . 077 Z 0 CA 41-4D /N /�O�i1C,. r .' .. � ' � \ �� r—._ •• F 1 ��I w..��„•u� � sR4a.f G�e+r. � I' I-�f w.+ � -247 "/.S.S✓c )*-ice'✓ 17 .Allz•`7Z I.01 `4'_' A a-_ .o.PE.o gREo FO.e C.ERT/,= 7,4/E:rot/ `Si5/Oi✓N ON :_ + F at' .M-�Ei `� 7.'ell S ,o/A77/V %S .9'S /T EX/S 7Z' i 7AI0 Ti-/,,c7 T. /T, p,Q7-6- • c�c�.�1 e5�6�,�' ` SC.�,�L E• / Ltd, CON�"ORMS TO 20N/N�j ' «��� ' CgF�E. �" /SL gi�iO S S`v.e✓E Y/N� . �'�'" ��s-�-�"'�T-- �=- _.`' ...r - . ?i(?L.S, .` TE•4'7/C.t'E T - MASS FROM TOWN OF BARNSTABLE . BUILDING DEPARTMENT � 'Mr. Francis Lahtei�,e - � . 'x �367�101AR4 STREET HYANNIS,• MA 02WJ Tewn Clerk Phone: 775-1120 SUBJECT: FOLD HERE DATE - - March 29, 1984 MESSAGE Work has been completed Please release Bond, } DATE REPLY 7. - SIGNED 1 7 N87.RMt RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. -.SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. '4 TOWN OF BARNSTABLE Permit No. 25950 Building Inspector a.0 TA GIL Cash ------------ 1-39 + �0 tlPY*' OCCUPANCY 'PERMIT RBond •w_________X__�____ y . Issued to% C & F Bu ilderca_ Address ! Lot 21, 1037 Pitch+ors Way-, Hyannis Wiring Inspector Inspection date Plumbing Inspector «. � ... , Inspection date r Gas Inspector } Inspection date I Engineering Department . r i #i' ,' r , �� d Inspection date Board of Health �"� ��j Inspection date 8 THIS PERMIT WILL NOT BE VALID�AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. j Building Inspector r o� .. .. •c'.'aa•1'.^"'--r_ra+.vf'..-o.....-.,.-•,T-.r.?,gel-.">r?^-.^-.:•h-..-+--.m+.'.r.n...r.:-w.-w .•. - .., -....,,.:�v... _ _ _ ___-., A II Vt F' 7 , F ' 3 �y�r it Ti J V L I-j- - I A - 7 1 . E Y' , r •,' .'aY 7It, 4 F.*'+' ;R Nk4 } T ( a f r} y Sa .rt/jP .,. .rt. -. '1 +w---,7r -- i `' 1 ± , I n' • i 1 101i P�►'lV CoNC.rM F-I)WATION ,? .,i;SrA1Gl� i Ih- o•' "j' 81 I 1 i i wpP S1_U" I ' it r'2LC�U"r yG� • I } �C V. 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L _ I _ ��Hr �;LwAT�oN ,f As'tessor's map and lot number .. . ..`. ..�...... �oFTHero� s Q - Sewage Permit number 1?........................... • p MUST 13E • /b�I . s rTl� SvSTE1U� i BAHBST!►DLE, i House number ...... .:... Q........... y MAea r IPdS7R�LE® ON �OMPLIANC � O 163 q. 9� WITH TITLE 5 �o�ara` TOWN OF -B A RN /°� A ® t BUILDING INSPECTOR APPLICATION FOR PERMIT TO t'i TYPE OF CONSTRUCTION ..........�( <?.. ...... 0/ ..:......................................................... ................. , i .............................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .. .........,,)../......... .:... . ..,.x ...... f.x". .... ProposedUse ... � .. . -e.......It J.e l et.`.,/............................................................................:. Zoning District......./...........................................Fire District .... . 1 !.%!.: ................................................ Name of Owner .... ..0!... .j`... `�/../1.� .. ...............Address ......6e.-2114.V�A....................... Name of Builder ......aS. dh. .............................................Address Nameof Architect ....... :..�...............:.........................Address .................................................................................... Number of Rooms .. ...........Foundation .... ..... Exierior .......l...h...A—; ....L-.e L"I......U.4,(1v.k4.......Roofing ..........t/Yis p. ' ,..I ...................:...................... , Floors .......t.4)[tv.... L�.! ......................'.. ............Interior ry.1�i.�1.... ....... ........... yaatinr, :/ l�f,. a� 5./C�^ ..........:Plumb c �.� �!. .. �-...Jl.e� . �P ..,f:..:... r. Fireplace ............. ............................................................Approximate Cost .............. .... Definitive Plan Approved by Planning Board -----------_-------------------19_______. -Area ......� .. ......... ZJ Diagram of Lot and Building with Dimensions Fee 5,............ SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 'Name .... 119...... .t.�,�............:.:.. - i i. 0 & F BUILDERS F 25"9'50 l Story No Permit for .. >I �i n g.�,e...IF f . ' Iy....H7� .la.n ............. -Location I.Qt..241........ ........ ............. .. dS1Xl].5............................................. Owner ..... ..................... Frame ' Type' of Construction .......................................... .�r Plot ............................ Lot ................................ - Permit Granted ......gATDAa1:'y....5..........19 84 ` Date of Inspecti n., !2 ...�/�............190 ..., Date Completed .. .. � 19 PERMIT REFUSED t r ............ ... ................................. .. 19 ................................................................................ +� - ... P .t .......... ........................................................ I� Approved ... ............... 19 ....... ...... ..................................................... I .............. .. .................................... r Town of Barnstable Regulatory Services $"xr'ST".SS. !MA 1 Thomas F. Geiler Director � ® 4'Aifo .�a`e Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION: Under the provisions of 780 CMR,-the State Building Code, Section 3400.5.1, you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. LOC L INSPECTOR SIGNATURE OF RECIPIENT .Y F THE T i ° .� The Town of Barnstable Department of Health, Safety and Environmental • BA1ZIMABM ► Services NAM �, Building Division 16.19. 31 S� � AiF .t a`0 367 Main Street,Hyannis MA 02601 6 - � - RIR Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner r �J --) �j Home Occupation Registration Date: 0 J - C 1 Name: Vh1 O &,4(Z,6 41-hf 0 2 ove C©J hone#: ��� 7 7 / ff�� Address:_ �• 7 P 1-(G<fz� `1 fij�/� y village: mil Type of Business:_ f^N -r, Al Map/Lot INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: 0 The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: L/��%� � /�/ Date:_ Homcoc.doc Al -c)m f ' .nrv'• p -.e+e t- w m Ili A� wrrwr e o � V c i � E F � Y! ..,:w-.. .... ;.. � .wwr eu�fyJ�•w 4.a,.:::^ x� �,. iw i�i+wki.. m yw.•rowwr'.. -�.w++.rr�+iwv.,w......wr*✓. ...�..s _ y ... „y„y...by q�.y�.k w.» II s R R- W a� � s I, � t �( k, s I f M. x r d i 0 4 � n r l Vi R J � �M�wr'rMAwr'�* a�w..>»w.......q..�...�ra.�+1v�v..+.�,me.ww+r.. '^"."`•'^. � C Y' Q M Lv GN ; . t a c � r g r x �n iz x µ. c'f WRI- iz IS l a ` � irMYIKfrlliYlYlli. � � ..� � _ •s.^. 44 ! V� � �� �. .; � d� tea�• s r e' 9 M ; v a w o 5 ` J " G+w m g 1 a >e '^t A t �: }n c y ; .. '4 04 n: w °4 y ..... ... .. ,. O At P f -._.... . ....._.. .as_ N r 2> 0 b I- M x N iAt t m .r I y r � » zr n ki +y r 3° �r ,O a r d O k rf' cx. W, to JJ Y 41 e.. 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